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REQUIRED SUBMITTALS:
<br /> All of the following information must be submitted by the application deadline date in order for your application to
<br /> be processed. •
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<br /> ❑ Escrow A reement si ned �
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<br /> ❑ Pre-A lication Form
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<br /> �C ' ❑ ' Pro osed Plans
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<br /> ❑ ❑ Se tic S stem Site Evaluation Re ort
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<br /> ❑ Wetland Buffer Evaluation
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<br /> nR � Y } 2 1?��
<br /> APPLICANT AND/OR OWNER:
<br /> • Agree to provide all information required or requested by the Planning Department,
<br /> • Agree to pay additional fees (staff time not covered in the original fee payment) and/or consultant expenses
<br /> incurred in review of this application, and •
<br /> • Certify that the information supplied is true and correct to the best of his/her knowledge. The applicant and
<br /> owner recognize that they are solely responsible for submitting a complete application being aware
<br /> that upon failure to do so, the staff has no alternative but to reject it until it is complete or to
<br /> recommend the request for denial of the request regardless of its potential merit.
<br /> • Acknowledge the Escrow Agreement is completed and signed.
<br /> • The Owner hereby acknowledges and agrees to this application and further authorizes reasonable entry onto
<br /> the property by City Staff, consultants, agents, Commission and Council Members for purposes of
<br /> investigation and verification of this request.
<br /> • Owner and/or Applicant acknowledge they must be present at all scheduled review meetings of the
<br /> Planning Commission and Council. If an applicant and/or owner is unable to attend a scheduled meeting,
<br /> please make arrangements to have an authorized representative attend in place of the applicant/owner and
<br /> advise the City Planner assigned to your project.
<br /> �Owner's Signature: Date: _I—�1 �� � �
<br /> Owner's Signature: Date:
<br /> Applicant's Signature: Date: � � a� — 1 3
<br /> Applicant's Signature: Date:
<br /> CUP 8 Other Land Use ApplicaUons
<br /> Updated: January 31,2012
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